NPI 1003839291 · live from the CMS NPI Registry
Beth Andersen, PA
Physician Assistant, Medical in Danbury, CT. National Provider Identifier 1003839291, active.
NPI record
| NPI | 1003839291 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 67 Sand Pit Rd, Suite 308, Danbury, CT 06810 |
| Practice phone | 203-743-7246 |
| Enumerated | July 26, 2006 |
| Last updated | December 17, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 010302 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.